ABDSM Final Exam-Dental Sleep Medicine
Exam Newest Exam / ABDSM Final Exam-
Dental Sleep Medicine Preparation/ABDSM
Final Exam Dental Sleep Medicine Practice
Exam With Complete Questions And Correct
Answers| Brand New Version!
Which of the following statements is true regarding a modified mallampati
classification of the oral pharynx?
A. Mallampati II allows visualization of only the hard palate
B. Malampati III allows visualization of only the hard palate
C. Malampati classifications are taken with the patient sedated and reclined
D. Mallampati classifications of IV have greater odds ratio than Mallampati
classifications of I for severe OSA - ANSWER>>D. Mallampati classifications of IV
have greater odds ratio than Mallampati classifications of I for severe OSA
What 8 item questionnaire was developed to perioperatively screen for risk of
OSA?
A. ESS
B. STOP-BANG
C. MSLT
D. Berlin - ANSWER>>B. STOP-BANG
In the pathophysiology of sleep apnea, airway patency and stability is promoted
by which factor?
A. Increased lung volume
B. Shorter mandible
,C. Increased parapharyngeal fat deposition
D. Negative inspiratory pressure
E. Reduced pharyngeal muscle dilator activity - ANSWER>>A. Increased lung
volume
Oral appliance therapy commonly provides successful sole therapy for which of
the following sleep-related breathing disorders?
A. Primary central sleep apnea
B. Cheyne-Stoke periodic breathing
C. Obesity hypoventilation
D. Overlap syndrome (OSA and COPD)
E. None of the above - ANSWER>>E. None of the above
Which of the following is true about OSA and HTN?
A. Ambulatory BP is increased in OSA patients primarily due to increased salt
intake associated with elevated ghrelin levels
B. Ambulatory BP normally increases in the early AM before awakening - this
increase is blunted in OSA
C. Untreated OSA is associated with a similar risk of HTN at all severity levels
D. The risk of HTN in untreated OSA is due to intermittent hypoxia, sympathetic
overactivation, inflammation, and other complex factors - ANSWER>>D. The risk
of HTN in untreated OSA is due to intermittent hypoxia, sympathetic
overactivation, inflammation, and other complex factors
Across a general population, what is the most common sleep disorder?
A. RLS
B. Narcolepsy
C. Delayed sleep phase syndrome
D. Insomnia
E. Obstructive sleep apnea - ANSWER>>D. Insomnia
,Measurement has shown that patients with sleep apnea have smaller upper
airways than those without sleep apnea but manage to keep an open airway
during wakefulness by:
A. Mouth Breathing
B. Increased muscle tone on inspiration
C. Increased blood flow to the soft tissue
D. Frequent bruxing - ANSWER>>B. Increased muscle tone on inspiration
Key features of sleep apnea as recorded during an in-lab sleep study include
marked reduction or absence of air flow, arousals from sleep, slowing of heart
rate and:
A. Choking or gasping for air
B. Oxygen desaturation
C. Flattening of the nasal pressure signal
D. Flailing of the arms and legs
E. Sawtooth waves in the EEG - ANSWER>>B. Oxygen Desaturation
Who publishes the CPT codebook?
A. The Centers for Medicare and Medicaid Services
B. The American Medical Association
C. The Office of the Inspector General
D. The Durable Medical Equipment Service
E. The American Academy of Sleep Medicine - ANSWER>>B. The American
Medical Association
A 48 year old man is treated with OAT for his moderate OSA. On repeat sleep
testing, his apnea-hypopnea index (AHI) has decreased to 3 events per hour, and
he reports resolution of snoring and daytime sleepiness. What is the most
reasonable dental-medical sleep medicine follow up regimen for this patient?
, A. As needed
B. Every 6 months for the first year, then annually
C. Monthly for the first 6 months, then every 6 months
D. Every other year - ANSWER>>B. Every 6 months for the first year, then annually
Which of the following would exclude oral appliance therapy as a first treatment
trial for OSA?
A. Xerostomia
B. Edentulism
C. Micrognathia
D. Steep mandibular plane angle - ANSWER>>B. Edentulism
Reviewing your patient's diagnostic polysomnogram, you note more than a 50%
epoch consists of alpha waves. According to the current PSG scoring guidelines,
the patient is in which stage of sleep?
A. Stage I NREM
B. Stage II NREM
C. Stage III NREM
D. Stage REM - ANSWER>>A. Stage I NREM
A patient presents for an evaluation to determine their candidacy for an oral
appliance to treat their mild OSA. During your examination, you note the
presence of TMD. This might include the following:
A. Pain in the TMJ
B. Pain in the muscles of mastication
C. Anomalies in mandibular movement
D. All of the above - ANSWER>>D. All of the above
Exam Newest Exam / ABDSM Final Exam-
Dental Sleep Medicine Preparation/ABDSM
Final Exam Dental Sleep Medicine Practice
Exam With Complete Questions And Correct
Answers| Brand New Version!
Which of the following statements is true regarding a modified mallampati
classification of the oral pharynx?
A. Mallampati II allows visualization of only the hard palate
B. Malampati III allows visualization of only the hard palate
C. Malampati classifications are taken with the patient sedated and reclined
D. Mallampati classifications of IV have greater odds ratio than Mallampati
classifications of I for severe OSA - ANSWER>>D. Mallampati classifications of IV
have greater odds ratio than Mallampati classifications of I for severe OSA
What 8 item questionnaire was developed to perioperatively screen for risk of
OSA?
A. ESS
B. STOP-BANG
C. MSLT
D. Berlin - ANSWER>>B. STOP-BANG
In the pathophysiology of sleep apnea, airway patency and stability is promoted
by which factor?
A. Increased lung volume
B. Shorter mandible
,C. Increased parapharyngeal fat deposition
D. Negative inspiratory pressure
E. Reduced pharyngeal muscle dilator activity - ANSWER>>A. Increased lung
volume
Oral appliance therapy commonly provides successful sole therapy for which of
the following sleep-related breathing disorders?
A. Primary central sleep apnea
B. Cheyne-Stoke periodic breathing
C. Obesity hypoventilation
D. Overlap syndrome (OSA and COPD)
E. None of the above - ANSWER>>E. None of the above
Which of the following is true about OSA and HTN?
A. Ambulatory BP is increased in OSA patients primarily due to increased salt
intake associated with elevated ghrelin levels
B. Ambulatory BP normally increases in the early AM before awakening - this
increase is blunted in OSA
C. Untreated OSA is associated with a similar risk of HTN at all severity levels
D. The risk of HTN in untreated OSA is due to intermittent hypoxia, sympathetic
overactivation, inflammation, and other complex factors - ANSWER>>D. The risk
of HTN in untreated OSA is due to intermittent hypoxia, sympathetic
overactivation, inflammation, and other complex factors
Across a general population, what is the most common sleep disorder?
A. RLS
B. Narcolepsy
C. Delayed sleep phase syndrome
D. Insomnia
E. Obstructive sleep apnea - ANSWER>>D. Insomnia
,Measurement has shown that patients with sleep apnea have smaller upper
airways than those without sleep apnea but manage to keep an open airway
during wakefulness by:
A. Mouth Breathing
B. Increased muscle tone on inspiration
C. Increased blood flow to the soft tissue
D. Frequent bruxing - ANSWER>>B. Increased muscle tone on inspiration
Key features of sleep apnea as recorded during an in-lab sleep study include
marked reduction or absence of air flow, arousals from sleep, slowing of heart
rate and:
A. Choking or gasping for air
B. Oxygen desaturation
C. Flattening of the nasal pressure signal
D. Flailing of the arms and legs
E. Sawtooth waves in the EEG - ANSWER>>B. Oxygen Desaturation
Who publishes the CPT codebook?
A. The Centers for Medicare and Medicaid Services
B. The American Medical Association
C. The Office of the Inspector General
D. The Durable Medical Equipment Service
E. The American Academy of Sleep Medicine - ANSWER>>B. The American
Medical Association
A 48 year old man is treated with OAT for his moderate OSA. On repeat sleep
testing, his apnea-hypopnea index (AHI) has decreased to 3 events per hour, and
he reports resolution of snoring and daytime sleepiness. What is the most
reasonable dental-medical sleep medicine follow up regimen for this patient?
, A. As needed
B. Every 6 months for the first year, then annually
C. Monthly for the first 6 months, then every 6 months
D. Every other year - ANSWER>>B. Every 6 months for the first year, then annually
Which of the following would exclude oral appliance therapy as a first treatment
trial for OSA?
A. Xerostomia
B. Edentulism
C. Micrognathia
D. Steep mandibular plane angle - ANSWER>>B. Edentulism
Reviewing your patient's diagnostic polysomnogram, you note more than a 50%
epoch consists of alpha waves. According to the current PSG scoring guidelines,
the patient is in which stage of sleep?
A. Stage I NREM
B. Stage II NREM
C. Stage III NREM
D. Stage REM - ANSWER>>A. Stage I NREM
A patient presents for an evaluation to determine their candidacy for an oral
appliance to treat their mild OSA. During your examination, you note the
presence of TMD. This might include the following:
A. Pain in the TMJ
B. Pain in the muscles of mastication
C. Anomalies in mandibular movement
D. All of the above - ANSWER>>D. All of the above
